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PubMed1989

[Infectious gastroenteritis in the immunocompetent child. Significance of Cryptosporidium spp. and Aeromonas ssp].

Over a one-year period we have examined 390 stool specimens from 210 children hospitalized for infectious gastroenteritis or in whom infectious gastroenteritis occurred during hospitalization. The most prevalent pathogens were rotaviruses (22.4%), followed by enteric salmonella (8.1%), Campylobacter jejuni/coli (2.4%), Cryptosporidium spp. (2.4%) and Aeromonas spp. (1.9%). Both Cryptosporidium spp. and Aeromonas spp. are important pathogens of infectious gastroenteritis in immunocompetent children in Switzerland. For both pathogens the most frequently observed clinical sign was self-limited, watery diarrhea with vomiting and fever often requiring parenteral rehydration. The laboratory findings in our patients revealed a left shift with a rise in total leukocyte count in Aeromonas infections only. Electrolytic disorders were frequently found in infections associated with either pathogen, while marked compensated metabolic acidosis was found with cryptosporidiosis only. This points toward a secretory component as part of the still unclear pathogenetic mechanism. Possible modes of infection in cryptosporidiosis are transmission by infected livestock (calves) and person-to-person communication, and in Aeromonas infections transmission by contaminated food or water. We recommend screening for both pathogens in infectious gastroenteritis of immunocompetent children.

Adolescent↗
PubMedDate not supplied

An Aeromonas species implicated in ulcer-disease of the cod (Gadus morhua).

Vibrio anguillarum is the most frequently isolated bacterial species involved in ulcer disease in salt water fish. However, an Aeromonas species was very often incriminated in ulcers and septicaemia in cods (Gadus morhua) in Danish coastal areas. These Aeromonas strains were very uniform in their biochemical activities only differing in growth on Simmons citrate agar, and the mean value for the guanine + cytosine content of DNA was 59 per cent with a standard deviation of 0.4. Primary serological investigations demonstrated a possible identity to O and K antigens. The most characteristic biochemical features of these strains were a gas production from glycerol but not from glucose. They were positive in lysine decarboxylase, did not produce indole, and had a typical fermentation pattern of the glycosides. Negative results were found in H2S production, phosphatase and in the utilization of NH4+ and glucose as the only source of N and C. The evident differences from the species described and subspecies of Aeromonas elucidate the weakness of the existing systems of biotyping. A broader conception of the biochemical spectrum for the individual species of Aeromonas combined with serotyping would seem to be a better system for identification, and also for an epidemiological purpose.

Aeromonas↗
PubMed1994

Incidence of motile Aeromonas spp. in foods.

A total of 80 food samples were purchased from local retail consumer shops and examined for the presence of motile Aeromonas spp. Of the food categories tested, poultry had the highest incidence, with 100% positive. This was followed by lamb samples, with 60% positive. Raw milk and cheese samples had very low incidence (20%). No motile Aeromonas spp. were found in pre-prepared salads. Shellfish, fish, pork and beef samples had incidences of 40%. Most of the strains isolated were Aeromonas hydrophila, and for most of the food categories, no Aeromonas caviae isolates were obtained.

Aeromonas↗
PubMed1993

Aeromonas-associated gastroenteritis in Egypt.

Aeromonas spp. including A. hydrophila, A. sobria, and A. caviae, were recovered from the feces of 88% of diarrheic Egyptian children. In contrast, only 45% of nondiarrheic children contained Aeromonas spp. A probable source of Aeromonas spp. is from drinking water inasmuch as nine out of ten samples analysed from the district of Cairo in which the children resided tested positive for Aeromonas spp. Enterotoxigenicity of the isolates from various sources was tested. 33% of the diarrheic samples produced enterotoxin whereas 47% of the nondiarrheic and 56% of the tap water strains produced enterotoxin.

Aeromonas↗
PubMed1993

[The identification of Aeromonas species isolated in Cuba].

100 Aeromonas strains, isolated from children under 5 years with acute diarrheal diseases from various health centers of the country, were studied from January to July, 1990. Using the Janda-modified Popoff's and Veron's model, 63% of the strains were identified in species through primary tests, and 100% of the other 37% were identified in Aeromonas sobria, Aeromonas hydrophila, and Aeromonas caviae, using also supplementary tests.

Acute Disease↗
PubMed1993

Adherence of haemagglutinating and non-haemagglutinating clinical and environmental isolates of Aeromonas.

Twelve haemagglutinating and non-haemagglutinating isolates of Aeromonas spp., comprising 6 each of clinical and environmental origin, were examined for their ability to adhere to rabbit intestinal epithelium, for inhibition of adhesion with sugars, and for delineation of the portion of intestine, jejunum, or ileum that is most susceptible to adhesion. Although the environmental isolates of Aeromonas haemagglutinated human erythrocytes that were inhibited by D-mannose and/or L-fucose, the majority of the clinical isolates of Aeromonas adhered to rabbit intestinal epithelium in almost equal proportions regardless of their haemagglutination (HA) properties, species designation, and source of isolation. Adhesion of both haemagglutinating and non-haemagglutinating isolates of Aeromonas was inhibited by sugars; however, the ability of sugar inhibition to adhere was similar to that observed with HA. This study suggests that adhesion is probably mediated by a variety of pilus or non-pilus colonisation factors which may or may not be a haemagglutinin. The jejunum was found to be more susceptible to adhesion than the ileum. However, no appreciable difference was observed in the number of adhered bacteria to adjacent loops.

Aeromonas↗
PubMed1996

Growth and exotoxin production at low temperatures by Aeromonas strains in meat slurries.

The ability of enterotoxigenic strains of Aeromonas hydrophila and Aeromonas sobria to produce exotoxins (haemolysin and enterotoxin) and exoenzymes (protease and lipase), as well as their growth in meat slurries stored at low temperatures (5 and 12 degrees C) was investigated. The results showed that Aeromonas grew well in meat slurries stored at low temperatures in the presence of background flora. Exotoxins and exoenzymes were not detected in filtrates from meat slurries inoculated with enterotoxigenic Aeromonas strains after 5 and 8 days incubation at both incubation temperatures. The significance of the competitive growth of aeromonads in foods at refrigeration temperatures is discussed.

Aeromonas↗
PubMed1995

Aeromonas and Plesiomonas species as bacterial agents of diarrhoea in urban and rural areas of Nigeria: antibiogram of isolates.

Two thousand four hundred stool samples comprising 1 200 each from diarrhoeal and non-diarrhoeal (control) cases with 600 of each category from urban and rural areas were screened for the prevalence of Aeromonas and Plesiomonas species in the different groups. Thirty (5 pc) and (14,8 pc) of Aeromonas species and 14 (2,3 pc) and 46 (7,7 pc) of Plesiomonas shigelloides were isolated from urban and rural areas respectively for diarrhoea cases. Only eight (1,3 pc) and 18 (3 pc) of Aeromonas spp. from urban and rural areas respectively and none of P. shigelloides were isolated from controls. Both organisms were more commonly associated with females than males. This may be attributable to the fact that both organisms are environmental water bacteria and in rural areas, because females engage more in domestic activities than males have more frequent contacts with the water sources such as rivers, streams, ponds. Most rural areas lack piped water supply. Diarrhoea due to both organisms was associated with fever and vomiting: mainly watery but mucoid and bloody stools were also noted. Antiobiogram of isolates showed over 70 pc resistance to ampicillin and streptomycin in both rural and urban areas whereas over 90 pc of both organisms were sensitive to nalidixic acid and gentamycin in urban and rural areas. Antibiogram of isolates was independent of age, sex and area of residence. Finally, for cases of infections due to Aeromonas spp. and P. shigelloides, the use of gentamycin, nalidixic acid and nitrofurantoin would be appropriate in both urban and rural areas.

Adolescent↗
PubMed1997

Aeromonas sobria-associated left-sided segmental colitis.

Aeromonas species, once thought pathogenic only in immunocompromised hosts, have more recently been found to be associated with many different infections in previously healthy individuals. The most common site of these infections is the gastrointestinal tract. We describe a 67-yr-old woman who presented with abdominal pain and bloody diarrhea and was diagnosed with left-sided, segmental colitis due to Aeromonas sobria, which was proven by stool culture. Extensive work-up for ischemic colitis was unremarkable, and after treatment with antibiotics, the patient's symptoms resolved, and follow-up colonoscopy failed to reveal any evidence of residual colitis or inflammatory bowel disease. Our report supports the view that Aeromonas species need to be considered in the differential diagnosis of colitis, and we believe it to be the first report of left-sided, segmental colitis secondary to Aeromonas sobria infection.

Acute Disease↗
PubMed1998

Virulence factors in Aeromonas spp and their association with gastrointestinal disease.

Culture filtrates of eight Aeromonas strains isolated from the feces of 487 subjects (292 diarrhoeic patients and 195 asymptomatic subjects) were tested for toxin production in CHO and McCoy cells, and adhesion and invasive ability in Caco-2 cells. Among these isolates, three Aeromonas sobria and one Aeromonas caviae strains possessed virulence-associated properties. Toxin production was the most common of the three virulence properties. Two A. caviae were associated, in the absence of other diarrhoeagenic agents, with gastroenteritis; however, a virulence marker (cytotoxin) was recognized only in one strain. Two strains of A. sobria isolated from subjects with gastroenteritis were shown to be associated with one (cytotoxicity) or two (adhesion and invasive abilities) virulence factors, respectively. However, a third strain of A. sobria, although cytotoxic and invasive, was isolated from an asymptomatic subject. The results show that Aeromonas spp may act as human enteric pathogens, but also indicate that the significance of several putative virulence factors, such as production of cytotoxin and the capacity to adhere to and invade mammalian cells, remains controversial in explaining the enteropathogenesis of Aeromonads and therefore needs further studies.

Aeromonas↗
PubMedDate not supplied

Acute rhabdomyolysis and myonecrosis complicating aeromonas bacteremia in neutropenic patients with hematologic malignancies: report of two cases.

Infections by Aeromonas spp. are a rare cause of systemic infection in normal and immunocompromised hosts. We report the cases of two patients with acute non-lymphoblastic leukemia who developed septic shock by Aeromonas species with unusual soft-tissue complications. One patient who was undergoing consolidation chemotherapy developed septic shock by Aeromonas hydrophila with rhabdomyolysis and subsequent soft-tissue destruction consistent with myonecrosis. She recovered with combination antibiotic therapy and supportive care. The second patient developed neutropenia due to ganciclovir treatment for post-allogeneic transplant cytomegalovirus antigenemia. He developed a rapidly progressive septic shock due to Aeromonas sobria with rhabdomyolysis, multi-organ failure and bilateral lower limb myonecrosis, and died within 48 hours. The portal of entry was not identified in either case. These cases confirm the potentially aggressive nature of these bacteria in neutropenic cancer patients with an unusual tendency to produce muscular and soft-tissue destruction.

Acute Disease↗
PubMed1997

Isolation and identification of Aeromonas species from human stools.

One thousand and three diarrhoeal stool samples were processed in our laboratory during the period 1996/1997 for the presence of enteric pathogens especially Aeromonas spp., which has emerged as a new agent causing diarrhoea. Ampicillin sheep blood agar was found to be the best medium for the isolation of Aeromonas spp. from stool specimens. Enteric pathogens were found in 200 (20%) stools, of which Aeromonas spp. was the second commonest pathogen isolated amounting to 21% of isolates. This study clearly indicates that Aeromonas spp. must be looked for in every diarrhoeal stool samples, specially in children below 10 years of age. Isolation and identification is cost effective and easy, if the given protocol is observed.

Aeromonas↗
PubMed1976

[Antigenic structure of non-agglutinating vibrios and bacteria of the genus Aeromonas].

The authors carried out a comparative study of the antigenic structure of nonagglutinating vibrios and the respresentatives of Aeromonas genus. A number of common antigens (some of which were of protein origin) were revealed in the so-called enterotoxins of nonaggultinating vibrios and aeromonas and also in the cytoplasm and ribosomes of these strains. "Enterotoxin" of Aeromona s strain contained the factor of vascular permeability. The serum to "enterotoxin" of the Aeromonas strain neutralized the enterotoxin of nonagglutinating vibrio.

Aeromonas↗
PubMed1992

[CAMP factor for the differentiation among Aeromonas species].

The CAMP factor technique, described by Natale Figura as a presumptive method for the differentiation of the species hydrophila, sobria and caviae, was applied to 80 Aeromonas strains isolated from children under 5 years with acute diarrheic disease. The typical phenomenon was seen in aerobiosis and anaerobiosis conditions in 10 strains, which were classified as Aeromonas hydrophila. In aerobiosis conditions/alone, it was observed in 20 strains, which were identified as Aeromonas sobria. It was not observed in either of the incubation conditions above mentioned in 50 of the remaining strains, which were identified as Aeromonas caviae. The advantages of applying this new technique is emphasized.

Aerobiosis↗
PubMed1995

[Phenotype markers in strains of Aeromonas isolated in Cuba from children with an acute diarrheic disease].

Twenty-seven cases of Aeromonas isolated from 300 five-years children with acute diarrheal disease (EDA) were studied, with the aim for demonstrating the occurrence of some phenotypical markers associated with enteropathogenicity; among them were lysine decarboxylation, acetil methyl carbinol production, enterotoxigenicity, cytotoxicity and hemolysis. The percentage of analysed strains had two or more of the investigated markers, and 13 (48.1%) lysed the rabbit erythrocytes with titres higher than than 1:16. The presence of markers in Aeromonas hydrophila, Aeromonas sobria, and Aeromonas caviae was demonstrated.

Acute Disease↗
PubMed2000

Cloning, nucleotide sequence and expression of the beta-N-acetylglucosaminidase gene from Aeromonas sp. no. 10S-24.

The beta-GlcNAcase gene of Aeromonas sp. no. 10S-24 was cloned and sequenced. The gene consisted of 2505 bp encoding 835 amino acid residues. The amino acid sequence of the gene shares sequence homology with beta-GlcNAcases of Vibrio vulnificus (37.4%), Serratia marcescens (36.4%), V. harveyi (36.4%), V. parahemolyticus (33.5%), Alteromonas sp. strain O-7 (27.0%), and Candida albicans (28.6%). The beta-GlcNAcase gene of Aeromonas sp. no. 10S-24 was about 630-fold overexpressed in Escherichia coli compared to that in Aeromonas sp. no. 10S-24. The cloned beta-GlcNAcase had almost the same enzymatic properties as beta-GlcNAcase from no. 10S-24. The carbohydrate chain of beta-GlcNAcase from Aeromonas sp. no. 10S-24 was found to contain mannose, galactose, fucose, N-acetylglucosamine, N-acetylgalactosamine and several other unknown saccharides.

Journal Article↗
PubMed1986

Evaluation of different assay systems for identification of environmental Aeromonas strains.

Important biochemical reactions in conventional tests were compared with counterpart reactions in two multiple test systems, API-20E (Analytab Products, Plainview, N.Y.) and Aeromonas hydrophila medium, to evaluate their accuracy for the identification of motile Aeromonas spp. isolated from fish. In a total of 49 Aeromonas spp. isolates and 10 A. hydrophila reference strains, false-negative or -positive reactions were detected in the Voges-Proskauer test, indole production, gelatinase activity, production of gas, fermentation of arabinose, and lysine decarboxylase reaction. A good correlation was found, among the three identification systems, for the fermentation of mannitol and inositol as well as for the arginine dihydrolase and ornithine decarboxylase tests. The failure of A. hydrophila medium in the detection of gas indicates that this medium is not entirely suitable for defining aerogenic or anaerogenic strains. From the results of the present study, we consider that of the identification method and taxonomic scheme to be adopted for environmental Aeromonas spp. must be standardized.

Journal Article↗
PubMedDate not supplied

[Presence and meaning of aeromonas in drinkable water]

Many species of Aeromonas are thought to be the cause of diarrhoeal syndromes, bactaeremia and eye infections. Recent studies have shown that the presence of aeromonas in drinkable water is not associated with that of feacal indicators. The authors have tested 62 samples of drinkable water from various wells, as well as 14 samples of two mineral waters collected in Eastern Sicily from 1996 to 1999. Aeromonas were found in 14 (18%) out of 76 samples. Also, biochemical detection of the strains showed the presence of A. Salmoncida and A. hydrophila. According to the survey's data, there is a need to check aeromonas in drinkable water as a constant practice.

Journal Article↗